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Special Ed App Request
The request will be reviewed by the Special Ed department.
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* Indicates required question
Name
*
Your answer
Date wanted/needed by:
*
MM
/
DD
/
YYYY
Exact title of the App as it appears in the App Store.
*
Your answer
Developer of the App
*
Your answer
Total number of copies
*
Your answer
Cost of each App as listed in the App Store:
*
Your answer
Code for billing purposes - This is a budget code from your department to pay for paid apps. Check with the Sped Director or Special Programs secretary if you're not sure.
*
Your answer
Is the App for student or staff use
*
Student
Staff
Both
Receiving the app (Staff) List the names of all staff who should receive the App.
*
Your answer
Receiving the App (Classes and Grade Levels) List the students, classes, or grade levels who will receive the App.
*
Your answer
Purpose - Describe how this App will be used to enhance student learning or increase staff productivity.
*
Your answer
Content Area(s) - Check all that apply.
*
Reading
Written Language
Math
Speech & Communication
ELL
Behavior Intervention
Social Skills
Art
Music
Special Education
Health/Phy Ed
Required
Email Address
*
Your answer
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